Provider Demographics
NPI:1710039771
Name:OXNARD HUENEME OBGYN MEDICAL GROUP
Entity type:Organization
Organization Name:OXNARD HUENEME OBGYN MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-988-6688
Mailing Address - Street 1:1801 SOLAR DR
Mailing Address - Street 2:SUITE 251
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-8234
Mailing Address - Country:US
Mailing Address - Phone:805-988-6688
Mailing Address - Fax:805-328-5177
Practice Address - Street 1:1801 SOLAR DR.
Practice Address - Street 2:SUITE 251
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0151
Practice Address - Country:US
Practice Address - Phone:805-988-6688
Practice Address - Fax:805-328-5177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0020840Medicaid
CAGR0020840Medicaid